A treatment called endoscopic retrograde cholangiopancreatography (ERCP) enables a doctor to identify and address issues with your bile and pancreatic ducts. The ERCPprocedure is a mix of X-rays as well as endoscopy. Endoscopy involves inserting a thin tube equipped with specific tools and cameras is introduced into the digestive tract of your body.
A physician may suggest ERCP when you experience symptoms such as jaundice, or unanswerable abdominal pain. This could be a sign of obstruction, tumor, or another issue within your ducts.
Learn more about the times when an ERCP could be necessary and what you can anticipate during the procedure and the potential risk.
In what circumstances is ERCP necessary?
ERCP can be used to identify and treat issues in your pancreas or bile drains. ERCP is a high-risk method of complications when compared with other diagnostic tools that are less invasive like ultrasound or magnetic resonance cholangiography.
Doctors typically recommend an ERCP procedure just when they believe they’ll be able to address the issue while it’s identified.
The pancreatic and bile tubes connect your pancreas and gall bladder and connect to the upper section of the small intestines, which is the duodenum. The most popular reason that the doctor might recommend ERCP is when they suspect that the ducts may be blocked.
This can lead to blockages in these ducts, which could cause:
- gallstones
- Infection
- Pancreatitis chronic or acute
- Trauma or surgical complication
- pancreatic pseudocysts
- Pancreatic cancer
- bile ducts
What is the procedure for an ERCP procedure performed?
An ERCP is conducted by the general surgeon or gastroenterologist at a clinic, hospital, or doctor’s office. It is likely that you will be advised that you should not eat or drink for at least six hours prior to the procedure.
Before the surgery, the surgeon will discuss with you about risks and advantages. They could also prescribe medicines to take before the procedure. They will also advise that you should not take any medications like blood thinners or immunosuppressants.
It is important to follow your surgeon’s instructions closely and to inform your surgeon if you’re sensitive to shellfish or Iodine.
General procedure
The process takes anywhere from one to two hours according to the source. Here’s a glimpse of what to expect.
- The Intravenous (IV) vein is inserted inside your arm using a sedative to aid in relaxation.
- You’ll receive an anesthetic liquid to drink or spray the throat’s back to prevent you from gaging. Certain people receive general anesthesia in order to make them sleep.
- You’ll lie down on the exam table, and the surgeon will place the endoscope in the throat of the smaller intestines and stomach. Your doctor can view the video of the endoscope on an LCD monitor. The endoscope pumps air to help make structures more visible.
- The doctor will determine the point where you’re pancreatic and bile organs join with the small intestines.
- You’ll be able to insert a flexible tube, called a catheter via the endoscope into the drains.
- A contrast dye is placed through the catheter in order in order to help make the passages visible on a kind of X-ray referred to as fluoroscopy.
- The surgeon will guide instruments through the endoscopy to treat specific conditions such as those listed below.
How efficient can an ERCP be?
ERCP procedure steps the treatment that is most commonly used in cases of obstruction of the bile duct and a variety of other conditions of the bile duct. The success rates differ based on the exact reason ERCP is carried out.
According to the researchers of the 2020 study, ERCP has about a 90% success rate for kids, which appears to be equal to, or slightly less than the adult population.
You can schedule an appointment with Dr. Essam Quraishi by:
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